Mylene B Vicuna M.D.

NPI 1457577827 - General Practice - 208D00000X

NPI Details
NPI 1457577827
Gender Female
Enumeration Date 04/17/2007
Last Updated 02/06/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
LAS VEGAS NV, 89117-1600, US
Phone (702) 304-2144
Fax (702) 304-2147
Business Location
PO BOX 15645
LAS VEGAS NV, 89114-5645, US
Phone (702) 560-2886
Fax (702) 560-2928
Taxonomy Code 208D00000X
License State Illinois
License Number 125048180
Remove 1457577827 NPI Number

According to our database, Dr. Mylene B Vicuna M.D. NPI is 1457577827, taxonomy code is 208D00000X and license number is 125048180, license state is located at Illinois. Mylene B Vicuna M.D. physically located at 6857 W Charleston Blvd, Las Vegas NV, 89117-1600. NPI Number Mylene B Vicuna M.D. has the Individual type.

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1457577827 NPI number is provided on an as is basis without warranty of any kind. 1457577827 is maintained by the National Plan & Provider Enumeration System. The contents of Mylene B Vicuna M.D. are for informational purposes only.